Individual
DEBRA J GAZZUOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6115 PARK SOUTH DR STE 100, CHARLOTTE, NC 28210-3281
(704) 554-8787
(704) 554-8774
Mailing address
6115 PARK SOUTH DR STE 100, CHARLOTTE, NC 28210-3281
(704) 554-8787
(704) 554-8774
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
SC23339
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233394
—
SC
Enumeration date
08/26/2005
Last updated
12/13/2017
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